Individual
BREANNA HORITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 W 400 N, OREM, UT 84057-1950
(801) 714-3450
Mailing address
948 W 800 N, AMERICAN FORK, UT 84003-5233
(702) 234-1226
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
8924546-3102
UT
363L00000X
Nurse Practitioner
Primary
8924546-4405
UT
Other
Enumeration date
08/22/2019
Last updated
08/27/2019
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